Basic Information
Provider Information
NPI: 1568576890
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HROBOWSKI
FirstName: NICOLE
MiddleName: M
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: DAVIS, DAVIS-HROBOWSKI
OtherFirstName: NICOLE
OtherMiddleName: M
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential: MD
OtherLastNameType: 1
Mailing Information
Address1: 3495 PIEDMONT ROAD, NE
Address2: NINE PIEDMONT CENTER
City: ATLANTA
State: GA
PostalCode: 30305
CountryCode: US
TelephoneNumber: 4043647070
FaxNumber: 2025596071
Practice Location
Address1: 1000 JOHNSON FERRY ROAD NE
Address2: KAISER PERMANENTE AT NORTHSIDE HOSPITAL
City: ATLANTA
State: GA
PostalCode: 30342
CountryCode: US
TelephoneNumber: 4048518000
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/17/2006
LastUpdateDate: 11/10/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208M00000X200232LAN Allopathic & Osteopathic PhysiciansHospitalist 
208M00000XMD036673DCN Allopathic & Osteopathic PhysiciansHospitalist 
207R00000XMD036673DCN Allopathic & Osteopathic PhysiciansInternal Medicine 
207R00000X074939GAY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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